Individual
DR. NITA SUZANN ISGRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 VILLAGE LN, MT WASHINGTON, KY 40047-7658
(502) 538-3434
Mailing address
110 VILLAGE LN, MT WASHINGTON, KY 40047-7658
(502) 538-3434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60073590
—
KY
Enumeration date
09/28/2006
Last updated
07/08/2007
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